Formatos de CampoCampamentos y DdV PMSAC (2)

7/23/2019 Formatos de CampoCampamentos y DdV PMSAC (2)

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FORMULARIO AMBIENTAL (CAMP)

CAMPAMENT S - PMSAC CCNN GSP

Objetivo: Monitoreo Ambiental dentro y en el entorno del campamento

Ubicación Geográfica del espacio de monitoreo: Datos de los monitores:

Tipo Campamento: Temporal ase !ombres y apellidos :

Com"nidad !ativa : !ombres y apellidos :

#ector o Ane$o: Tecnico%Otros &'specificar( :

)ec*a de monitoreo +ora : )otos:

)"ente de información

CCD# 'M,-'#A #U CO!T-AT.#TA

!ombre y apellido &'ncargado( :

Cargo : Cargo :

Datos de "bicación del campamento

!/ ,ersonas :

Area Apro$0 )"era del Dd1:

Análisis de las variables de observación &,arte 2(

!ombre y apellido&'ncargado( :

)ec*a demplementación

Ubicación delcampamento &3p( :

Tipo deTerreno :

Area apro$imada dentrodel Dd1 :

Ubicación%CoordenadasUTM :

20 Descripcion delestado de los servicios+igienicos &a4o5d"c*as5 lavaderos(0

60 Manejo de resid"ossólidos &Organicos enorganicos(0

ESTE NORTE Altitud UTM

Longitud:m

Descripción (Lugar de Ubicacion !erca a cuerpos de agua si es po"o seco o silo #entilado distancia del$campamento

otros% : ....................................................................................................................................................................

..............................................................................................................................................................................

..............................................................................................................................................................................

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..............................................................................................................................................................................

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..

Optimo

Regular

&nadecuado

Relleno Organico : Optimo Regular &nadecuado

Anc'o: m Longitud: m Anc'o: m

AT: m AT: m

Almacen de Residuos &norganicos :

No e)iste

Optimo Regular &nadecuado No e)iste

Almacen de Residuos *eligrosos :

T$ *lano T$ &nclinado

Obser#acion : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

Obser#acion : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$


Obser#acion : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$



FORMULARIO AMBIENTAL (CAMP)

CAMPAMENT - PMSAC CCNN GSP

Análisis de las variables de observación &,arte 6(

70 Manejo de efl"entes89"idos &ag"as negras5ag"as grises(

0 ,lanta de Tratamientode Ag"as -esid"ales0

;0 Manejo decomb"stibles y

l"bricantes

Trampa de +rasas :

Obser#acion (Donde disponen lo lodos ,uee)traen%:$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$


*o"a de &n-iltracion E)iste algun !uerpo de Agua !ercano :

Obser#acion : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$


Si Distancia: m No

Almacen de !ombustible : Optimo Regular &nadecuado No e)iste

!obertura del suelo :Optimo Regular &nadecuado No e)iste

+eomenbrana

*lastico

Otros

Tipo de !ombustible : *etroleo +asolina Aceite Lubricante

Otros: $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

*resenta .itantederrames :

*a/os Absor#entes

Sacos&ndustriales

E)tintores :

!ilindros 0 en#ases

3ec'a 4cto: 5 5Si No

Se perciben Malos Olores: :

Se *ercibe algo e)tra/o en el 4ertimiento:

Tienen Registro del Monitoreo de E-luentes:

E)isten 6a/os 7uimicos con Tratamiento 7uimico:

Tienen *ermiso de 4ertimiento a !uerpos de Agua:

Si No

Obser#acion : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

NoSi

Si Semanal Mensual Trimestral No

Si NO

Si 3ec'a: 4ol (m8%:

ESTE NORTE Altitud UTM



<0 Orden y =impie>a0

????????????????????????????????????????????????? ?????????????????????????????????????????????????? ?????????????????????????????????????????????????

Descripción : ............................................................................................................................................................................

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.......

Optimo

Regular

&nadecuado

serr n a c c as

*alas Sacos de 9ute

so re ar ueas :

1o2a de Seguridad: Si No

OtrasObser#aciones : $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

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Monitor: !oordinador: Super#isor:

3&RMAS:



FORMULARIO AMBIENTAL (DdV)

M NIT RE AMBIENTAL EN APERTURA DEL DdV - PMSAC CCNN GSP

Objetivo: Monitoreo Ambiental dentro y )"era del ambieto del Derec*o de 1ia &Dd1(

Ubicación Geográfica del espacio de monitoreo: Datos de los monitores:

Com"nidad !ativa : !ombres y apellidos :

#ector o Ane$o: !ombres y apellidos :

)ec*a de monitoreo !ombre y apellido &Coordinador Monitores( :

!ombre y apellido &'0T( : +ora : )otos:

)"ente de información

'mpresa Monitoreada:

!ombre y apellido &#"pervisor 6( :

)rente de Trabajo

-ecorrido del Dd1 Area A"$iliar & (:

Análisis de los Aspectos Ambientales

20 ,roteccion de #"elos y 'stabilidad de Tal"des

!ombre y apellido&#"pervisor 2( :

20 #e -espeta el anc*o delDerec*o de 1ia &6;m(

60 'l s"elo Organicoprod"cto del desbroce seapila &+asta 6m( en >onasse4ali>adas5 sin contactocon otros Materiales y nose "sa para otrasactividades ajenas a larevegatcion0

70 #e obsevan carcavas y%oderr"mbes de Tal"d

0 =os botaderos seenc"entran en b"en estadoy ordenados &Trinc*eraOperativa(

;0 Adec"ada =impie>a5reconformacion5resta"racion yrevegetacion de ac"erdo aprocedimiento

<0 #e observan resid"ossolidos disp"estosinadec"adamente a lolargo del tramo del DD1recorrido

Si

No

No aplica

.p: al .p:

Observaciones:

..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

............................Si

No

No aplica

Observaciones:

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..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

............................Si

No

No aplica

Observaciones:

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..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:

..........................................................................................................................................................................

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..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:

..........................................................................................................................................................................

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.............................

..........................................................................................................................................................................

.............................

..........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:..........................................................................................................................................................................

.............................

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60 ,roteccion a la 1egetacion

70 C"erpos de Ag"as #"perficiales

20 'l desbroce se reali>adentro de la >onadelimitada y%o se4ali>ada

60 #e c"mple la pro*ibiciónde la recolección yad9"isición de florasilvestre por personal delproyecto

7 '$iste "na disposiciónadec"ada de la vegetaciónremovida

20 #e c"entan con "ndise4o espec8fico para loscr"ces de -8os y@"ebradas

60 !o se obstr"ye el fl"jonat"ral de las corrientes deag"as s"perficiales en r8oso 9"ebradas

70 =a calidad de las ag"ass"perficiales no se veafectada por los trabajosde constr"cción del Dd1

0 =as cajassedimentadoras seenc"entran en b"en estado

;0 =os ac"ed"ctos seenc"entran en b"en estado

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

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.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:

........................................................................................................................................................................

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........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

...................................

........................................................................................................................................................................

....................................

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....................................

........................................................................................................................................................................

....................................Si

No

No aplica

Observaciones:

........................................................................................................................................................................

...................................

........................................................................................................................................................................

....................................

........................................................................................................................................................................

....................................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................Si

No

No aplica

........................................................................................................................................................................

.............................

Observaciones:

........................................................................................................................................................................

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0 ,roteccion de la )a"na #ilvestre

;0 !iveles de -"ido

<0 Calidad del Aire

<0 =as captaciones de ag"apara pr"ebas *idrostáticasc"entan con los permisoscorrespondientes0

0 =os vertimientosc"entan con "n permiso yc"mplen con losre9"erimientos legales

20 C"al9"ier individ"oencontrado en la etapaconstr"ctiva es rescatadoy re"bicadoadec"adamente0

60 #e pro*8be la ca>a ycompra de fa"na silvestrepor personal de la empresa&CCD# y #"bcontratas(

20 #e -eali>a elmantenimiento mecánicoperiódico de lossilenciadores de los1e*8c"los &observarregistro(

60 #e verifica 9"e losniveles de -"ido estandebajo de los 'CA r"ido ?

Bonas 'speciales &1erregistro Monitoreo(

20 #e reali>a elmantenimiento mecánicoperiódico de ve*8c"lospara minimi>ar la emisiónde gases y part8c"las &1erregistros(

60 #e reali>a la 9"ema demateriales dentro o f"eradel área de trabajo porparte de la empresa0

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

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........................................................................................................................................................................

.............................

........................................................................................................................................................................

....................................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

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........................................................................................................................................................................

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........................................................................................................................................................................

.............................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

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........................................................................................................................................................................

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........................................................................................................................................................................

.............................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

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........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

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.............................

........................................................................................................................................................................

.............................

Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................

........................................................................................................................................................................

.............................Si

No

No aplica

Observaciones:

........................................................................................................................................................................

.............................

........................................................................................................................................................................

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........................................................................................................................................................................

.............................

........................................................................................................................................................................

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Si

No

No aplica

Observaciones:

........................................................................................................................................................................

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0 -ec"rsos +idrobiologicos

Nombre del Super#isor Nombre del Monitor

20 #e respetan los l"garesde desove y otrossensibles para peces yotros rec"rsos*idrobiológicos

60 #e reali>a la pesca ycomerciali>ación derec"rsos *idrobiológicospor el personal de laempresa o s"bcontratas0

...........................................................................................................................................................................

.............................

Si

No

No aplica

Observaciones:

...........................................................................................................................................................................

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Si

No

No aplica

Observaciones:

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Formatos de CampoCampamentos y DdV PMSAC (2)

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Transcript of Formatos de CampoCampamentos y DdV PMSAC (2)